Review Antimalarial Compounds Isolated from Plants Used In
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Review JPP 2009, 61: 1401–1433 ß 2009 The Authors Received April 7, 2009 Antimalarial compounds isolated from plants used in Accepted June 9, 2009 traditional medicine DOI 10.1211/jpp/61.11.0001 ISSN 0022-3573 Joanne Beroa, Michel Fre´ de´ richb and Joe¨ lle Quetin-Leclercqa aUniversite´ catholique de Louvain, Louvain Drug Research Institute, Analytical Chemistry, Drug Analysis and Pharmacognosy Unit, Brussels and bUniversity of Lie` ge, Natural and Synthetic Drugs Research Center, Laboratory of Pharmacognosy, Lie` ge, Belgium Abstract Objectives This review covers the compounds with antiplasmodial activity isolated from plants published from 2005 to the end of 2008, organized according to their phytochemical classes. Details are given for substances with IC50 values £ 11 mM. Key findings Malaria is a major parasitic disease in many tropical and subtropical regions and is responsible for more than 1 million deaths each year in Africa. The rapid spread of resistance encourages the search for new active compounds. Nature and particularly plants used in traditional medicine are a potential source of new antimalarial drugs as they contain molecules with a great variety of structures and pharmacological activities. Summary A large number of antimalarial compounds with a wide variety of structures have been isolated from plants and can play a role in the development of new antimalarial drugs. Ethnopharmacological approaches appear to be a promising way to find plant metabolites that could be used as templates for designing new derivatives with improved properties. Keywords antiplasmodial; malaria; plant compounds; Plasmodium falciparum; traditional medicine Introduction Malaria is a parasitic disease caused by Plasmodium species transmitted from the blood of an infected person and passed to a healthy human by a female Anopheles mosquito. There are four types of human malaria and Plasmodium falciparum is responsible for the most severe cases, and so most studies have evaluated the activity of compounds on this species. Malaria affects 350–500 million people per year worldwide and is responsible for 1.1 million deaths per year. In many parts of the world the parasites have developed resistance to a number of antimalarials such as chloroquine and derivatives, the most widely used treatment for malaria, and so there is an urgent need to discover new compounds with an original mode of action. Plants commonly used in traditional medicine are a source of active new compounds. For example, artemisinin isolated from Artemisia annua and used in China to treat malaria is a sesquiterpene lactone prescribed in combination therapies to fight chloroquino-resistant P. falciparum. In this review, all new active metabolites isolated from plants used in traditional medicine to treat malaria are described and organised according to their phytochemical classes. All the activities described were determined in vitro on P. falciparum strains, unless otherwise specified, and bio-guided fractionation was also based on this antimalarial test. Activities were assessed on different strains, among which are chloroquine sensitive (NF54, NF54/64, 3D7, D6, F32, D10, HB3, FCC1-HN, Ghana), chloroquine resistant (FcB1, W2, FCM29, BHz26/86, Dd2, EN36, ENT30, FCR3, FCR-3/A2) and/or multidrug resistant (K1, TM91C235) strains, to find effective compounds against resistant malaria. We considered that those having an Correspondence: J. Bero, IC50 £ 11 mM may have some interest for further development, while those with lower Catholic University of Louvain, activity were less interesting. We only give structures for promising compounds, the others Analytical Chemistry, Drug are cited in tables. As reviews already exist for compounds published before 2005,[1–7] Analysis and Pharmacognosy we focused on those published from 2005 to the end of 2008. Some examples of recent Unit, Avenue E. Mounier, [8] 72, B-1200 Brussels, Belgium. natural antiplasmodial compounds are also cited in Mambu and Grellier and, more [9] E-mail: [email protected] recently, in Kaur et al. Author Copy: This article was published by the Pharmaceutical Press, which has granted the author permission to distribute this material for personal or professional (non-commercial) use only, subject to the terms and conditions of the Pharmaceutical Press Licence to Publish. Any substantial or systematic reproduction, re-distribution, re-selling, 1401 sub-licensing or modification of the whole or part of the article in any form is expressly forbidden. 1402 Journal of Pharmacy and Pharmacology 2009; 61: 1401–1433 Phenolic derivatives stricta Roxb. (Leguminosae) roots and Erythrina subum- Flavonoid derivatives brans Merr. (Leguminosae) stems led to the isolation of two 24 25 Bioassay-guided fractionation of the ethyl acetate extract of pterocarpans, erybraedin A ( ) and erystagallin A ( ), and 26 the leaves of Piptadenia pervillei Vatke (Leguminosae) led one flavanone, 5-hydroxysophoranone ( ). All of them exhibited reasonable antiplasmodial activity against K1 with to the isolation of two phenolic compounds: (+)-catechin 5- [18] IC50 = 8.7, 9.0 and 5.3 mM, respectively. Vogelin C (27) gallate (1) and (+)-catechin 3-gallate (2). Compounds 1 and 2 and lespedezaflavanone B (28) were isolated from the bark of displayed high activity, with IC50 values of 1.2 mM and Erythrina subumbrans Merr. (Leguminosae) and possessed 1.0 mM (FcB1), respectively, and no significant cytotoxi- [10] antiplasmodial activity against K1 with IC50 values of 6.6 city. New secondary metabolites were isolated from the [19] and 9.1 mM, respectively. A known compound, 6-pre- root extract of Bauhinia purpurea L. (Leguminosae). Among nylapigenin (29), was isolated from Cannabis sativa L. the isolated metabolites, a flavanone exhibited moderate (Cannabaceae) and displayed notable antimalarial activity antimalarial activity, demethoxymatteucinol (3) (IC50 = against D6 and W2 with IC50 values of 6.7 and 4.8 mM, m [11] 9.5 M against K1). Phytochemical investigation of the respectively.[20] The 80% ethanol extract from the outer bark stem bark and root bark of Friesodielsia obovata (Benth.) of Ochna integerrima Lour. (Merr.) (Ochnaceae) led to Verdc. (Annonaceae) also afforded demethoxymatteucinol isolation of a biflavanone (30) that had not been found 3 ( ), which possessed weak antiplasmodial activity, with previously from a natural plant source and is a potent m IC50 = 34.1 and 29.9 M against K1 and NF54, respec- antimalarial ingredient against K1 (IC50 = 157 nM). The [12] tively. Investigation of the chemical constituents of the stereoisomer of 30 (31) was also isolated from this plant but root bark of Artocarpus rigidus Blume subsp. rigidus its activity was significantly lower than that of 30 (IC50 = [21] (Moraceae) led to the isolation of two known flavonoids, 10.2 mM). The antiplasmodial activity of five natural artonin F (4) and cycloartobiloxanthone (5), which exhibited biflavonoids was estimated on K1. Lanaroflavone (32) antiplasmodial activity against K1 (4.8 mM and 8.5 mM, isolated from the aerial parts of Campnosperma panamensis respectively).[13] Two new prenylated flavones, artocarpones Standl. (Anacardiaceae) showed the highest antiplasmodial A(6) and B (7) (IC50 = 0.12 and 0.18 mM, respectively), and activity (IC50 = 0.48 mM) and exhibited a high selectivity seven known prenylated flavonoids, including artonin A (8) index value (SI = 159), indicating selective antiplasmodial (IC50 = 0.55 mM), cycloheterophyllin (9) (IC50 = 0.02 mM), activity. Ginkgetin (33), isoginkgetin (34), bilobetin (35) artoindonesianin R (10) (IC50 = 0.66 mM), heterophyllin and sciadopitysin (36) isolated from the leaves of Ginkgo (11) (IC50 = 1.04 mM), heteroflavanone C (12) and artoin- biloba L. (Ginkgoaceae) showed antiplasmodial activity donesianin A-2 (13) (IC50 = 1.31 mM) were isolated from the (IC50 = 2.0, 3.5, 6.7 and 1.4 mM with SI = 4.1, 3.2, 4.0 and 49, respectively).[22,23] A new biflavanone, ent-naringeninyl- stem bark of Artocarpus champeden Spreng. (Moraceae). 0 The isolated compounds were tested for their inhibitory (I-3a,II-8)-4 -O-methylnaringenin (37) was isolated from the activity against 3D7. All possessed interesting activity with root bark of Garcinia livingstonei T.Anderson (Clusiaceae) inhibitory concentrations from 0.001 to 1.31 mM. Compound collected in Tanzania. This compound showed reasonable m [24] 12 was the most potent with an IC50 of 1 nM. The inhibitory activity against Ghana strain (IC50 = 6.7 M). Phyto- activity of these flavonoid derivatives supports the traditional chemical re-examination of the aerial exudates of Polygonum use of the dried stem bark of A. campeden as an antimalarial senegalense Meisn. (Polygonaceae) forma senegalense 38 39 drug.[14] Antitubercular and antimalarial activity-guided resulted in the isolation of two chalcones ( and ) active, respectively, with an IC50 of 3.1 mM on D6 and 2.4 mM on study of the dichloromethane extract of the roots of m m [25] Artocarpus altilis (Parkinson) Fosberg (Moraceae) led to W2, and 14.0 M on D6 and 9.5 M on W2. The bioassay- guided purification of an n-hexane extract from the leaves of the isolation of nine prenylated flavones, including cycloar- Piper hostmannianum C.DC. var. berbicense (Piperaceae) tocarpin (14), artocarpin (15), chaplashin (16), morusin (17), led to the isolation of four monoterpenes or prenyl- cudraflavone B (18), artonin E (19) and artobiloxanthone substituted dihydrochalcones as well as known compounds. (20). All compounds exhibited antiplasmodial activity (–)-Methyllinderatin (40) and linderatone (41) exhibited against K1 with IC50 values of 9.9, 6.9, 7.7, 4.5, 5.2, 6.4 [15] moderate antiplasmodial activity with IC50 values of 5.6 and 6.9 mM, respectively. Ethyl acetate extract from the and 5.3 mM (40) and 10.3 and 15.1 mM (41), respectively, stem bark of Erythrina fusca Lour. (Leguminosae) showed against F32 and FcB1. The activity of 40 was confirmed in 21 antimalarial activity against K1, and lonchocarpol A ( ) vivo against Plasmodium vinckei petteri in mice (80% isolated from that extract showed notable antimalarial reduction of parasitemia) at a dose of 20 mg/kg per day m activity (IC50 = 3.9 M).